| Wilsonville Smiles Dentistry | |
|
30040 Sw Boones Ferry Road Suite 20 Wilsonville OR 97070 | |
| (505) 682-4500 | |
| (505) 682-4900 |
| Full Name | Wilsonville Smiles Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30040 Sw Boones Ferry Road, Wilsonville, Oregon |
| Authorized Official Name and Position | Richard I Ashton Ii (OWNER) |
| Authorized Official Contact | 5036824500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilsonville Smiles Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Wilsonville Smiles Dentistry 30040 Sw Boones Ferry Road Suite 20 Wilsonville OR 97070 Ph: (505) 682-4500 |
| NPI Number | 1346516192 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 12/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346516192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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